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This is VAERS ID 1008359

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History of Changes from the VAERS Wayback Machine

First Appeared on 2/18/2021

VAERS ID: 1008359
VAERS Form:2
Age:44.0
Sex:Male
Location:Minnesota
Vaccinated:2021-01-12
Onset:2021-02-01
Submitted:0000-00-00
Entered:2021-02-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Angiogram pulmonary abnormal, Chest pain, Dyspnoea, Fibrin D dimer increased, Pulmonary embolism, Computerised tomogram thorax abnormal, Scan with contrast

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase nasal spray
Current Illness: none
Preexisting Conditions: Protein C deficiency
Allergies: sulfa antibiotics cashews and pistachio food intolerance
Diagnostic Lab Data: D-dimer was elevated on 2/1/21 (2.11) Contrast enhanced CT pulmonary angiogram protocol with coronal and sagittal reformations: FINDINGS: Thrombus is present in the proximal right upper lobe pulmonary artery extending into the segmental branches anteriorly and posteriorly. Opacification of the more distal branches is not optimal but there do appear to be small filling defects in segmental and subsegmental branches in the left upper lobe and possibly the right lower lobe. The RV/LV is greater than 1 consistent with right heart strain. There is no pleural effusion or pericardial effusion. The lungs are free of infiltrate.
CDC 'Split Type':

Write-up: I developed acute right posterior pleuritic chest pain and shortness of breath. Diagnosed with multiple pulmonary emboli (see below). I was started on Eliquis initially, but then had worsening symptoms on 2/4/21 and switched to Lovenox injections. Symptoms have been slowly improving since then.


Changed on 5/7/2021

VAERS ID: 1008359 Before After
VAERS Form:2
Age:44.0
Sex:Male
Location:Minnesota
Vaccinated:2021-01-12
Onset:2021-02-01
Submitted:0000-00-00
Entered:2021-02-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Angiogram pulmonary abnormal, Chest pain, Dyspnoea, Fibrin D dimer increased, Pulmonary embolism, Computerised tomogram thorax abnormal, Scan with contrast

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase nasal spray
Current Illness: none
Preexisting Conditions: Protein C deficiency
Allergies: sulfa antibiotics cashews and pistachio food intolerance intolerance
Diagnostic Lab Data: D-dimer was elevated on 2/1/21 (2.11) Contrast enhanced CT pulmonary angiogram protocol with coronal and sagittal reformations: FINDINGS: Thrombus is present in the proximal right upper lobe pulmonary artery extending into the segmental branches anteriorly and posteriorly. Opacification of the more distal branches is not optimal but there do appear to be small filling defects in segmental and subsegmental branches in the left upper lobe and possibly the right lower lobe. The RV/LV is greater than 1 consistent with right heart strain. There is no pleural effusion or pericardial effusion. The lungs are free of infiltrate.
CDC 'Split Type':

Write-up: I developed acute right posterior pleuritic chest pain and shortness of breath. Diagnosed with multiple pulmonary emboli (see below). I was started on Eliquis initially, but then had worsening symptoms on 2/4/21 and switched to Lovenox injections. Symptoms have been slowly improving since then.


Changed on 5/21/2021

VAERS ID: 1008359 Before After
VAERS Form:2
Age:44.0
Sex:Male
Location:Minnesota
Vaccinated:2021-01-12
Onset:2021-02-01
Submitted:0000-00-00
Entered:2021-02-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Angiogram pulmonary abnormal, Chest pain, Dyspnoea, Fibrin D dimer increased, Pulmonary embolism, Computerised tomogram thorax abnormal, Scan with contrast

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase nasal spray
Current Illness: none
Preexisting Conditions: Protein C deficiency
Allergies: sulfa antibiotics cashews and pistachio food intolerance intolerance
Diagnostic Lab Data: D-dimer was elevated on 2/1/21 (2.11) Contrast enhanced CT pulmonary angiogram protocol with coronal and sagittal reformations: FINDINGS: Thrombus is present in the proximal right upper lobe pulmonary artery extending into the segmental branches anteriorly and posteriorly. Opacification of the more distal branches is not optimal but there do appear to be small filling defects in segmental and subsegmental branches in the left upper lobe and possibly the right lower lobe. The RV/LV is greater than 1 consistent with right heart strain. There is no pleural effusion or pericardial effusion. The lungs are free of infiltrate.
CDC 'Split Type':

Write-up: I developed acute right posterior pleuritic chest pain and shortness of breath. Diagnosed with multiple pulmonary emboli (see below). I was started on Eliquis initially, but then had worsening symptoms on 2/4/21 and switched to Lovenox injections. Symptoms have been slowly improving since then.

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